msmithbooks Chapter 1522 - 615: Brain Injuries—The Seen and Unseen, In-Depth Spinal Cord Investigation_2
Chapter 1522 - 615: Brain Injuries—The Seen and Unseen, In-Depth Spinal Cord Investigation_2
Zhou Can always tells Li Lao not to bring him anything, yet every time he goes to the company, Li Lao has someone fill his trunk.When money is tight, even a box of tea or good liquor seems precious.
But at Zhou Can’s level, he views it all indifferently.
Rare items are valuable.
"A person to the point of no desire is naturally noble," is a timeless saying.
He receives so many gifts that he practically doesn’t know who sent them. Those sending gifts don’t necessarily want Zhou Can to remember their names, just acting on the notion that nobody minds too many gifts.
If they don’t send gifts to Zhou Can, there’s a chance that during promotions or important position appointments, a word from Zhou Can could ruin things.
Countless aspiring artists, not only spend money on gifts, but even dressing up beautifully to come and keep Zhou Can company late into the night.
Similarly, advertisers and companies with significant interests in the entertainment circle and with Golden Entertainment Interactive find it perfectly normal to send gifts to the two bosses during festivals.
After leaving Director Yin’s office, it was already 8:26 PM.
Time passes too quickly.
He seems to feel there’s never enough time.
There’s always an endless stream of patients to treat and work to do.
Upon returning to the Emergency Department, he plans to challenge himself to see if he can identify the child’s illness tonight.
Now, as the Deputy Director of the Emergency Department, he has considerable power.
The use of many medical resources no longer needs approval from Director Lou or Dr. Xu; he can mobilize them directly.
The Emergency Department has an advantage that specialized departments lack, which is 24-hour operation.
In specialized departments, many medical staff clock out when their shift ends, leaving only those on duty to handle inpatient cases. Under such circumstances, many things can’t be done.
Due to its special nature, the Emergency Department operates continuously around the clock.
Whether emergency patients or critically ill patients arrive at the Emergency Department, effective rescue measures can be taken immediately at any time. There’s no need to wait for the next day’s working hours.
Various urgent tests can also be conducted at any time.
Including surgeries, even at 3 AM, the Emergency Department can promptly proceed if the patient requires it.
He carefully analyzes the child’s examination report and various information again.
The nervous system can be divided into central nerves and peripheral nerves.
However, in terms of connections, there are only two types. One connects to the brain, and the other connects to the spinal cord, also referred to as spinal nerves.
Director Yin’s diagnostic suggestion is that the child might be having simultaneous issues with brain and spinal nerves.
This requires Zhou Can to find ways to verify each possibility.
Additionally, nerves can be divided into sensory and motor functions.
Zhou Can decides to return to the ward to test the child’s sensory nerve functions.
Sometimes, don’t find a doctor troublesome.
Normally, doctors hope to identify a patient’s cause of illness in one go. But when faced with such challenging nervous system disorders, it may not be possible to determine on several, even dozens or hundreds of times. If a doctor spends time investigating each time, the patient should be thrilled.
Because this indicates encountering a responsible and good doctor.
If the patient and family act irresponsibly, and curse at such a doctor or show an extremely uncooperative attitude.
It’s conceivable that after feeling disheartened, the doctor may suggest the patient transfer hospitals or take protective medical measures. At that point, the patient will reap what they sow.
Consider, doctors could easily spend valuable time treating more patients instead of consuming it on one.
Navigating difficult cases comes at disproportionate cost versus gains.
If treating a regular patient’s performance bonus is fifty, then treating a difficult case’s bonus might reach three hundred. Yet doctors lose out.
Moreover, the more complex and challenging the condition, the greater risk the doctor bears.
Upon reaching the inpatient ward, the child’s mother is attending to him.
Grandparents are temporarily staying at a hotel.
The inflatable castle owner and the young woman are also not in the ward.
Typically, it’s acceptable for the inflatable castle owner to just provide treatment costs without personally attending. After all, the journey is quite long.
However, the child’s father is no ordinary person, and if the owner doesn’t show enthusiasm, potential claims could lead to greater losses. If problems are discovered, arrest and litigation could follow.
No one wants to be imprisoned.
The inflatable castle owner shows a positive attitude to satisfy the family and avoid litigation.
Strive to settle the matter privately.
"Civil suits not lodged, issues not pursued," applies worldwide.
Also applicable throughout history.
Consider the simplest case: restaurants, bun shops, cake shops—who dares to undergo inspection? Unexamined, perhaps no issues arise; once explored, problems inevitably manifest.
As long as diners suffer no harm, and nobody reports it, the business continues as normal.
"Dr. Zhou, you’re here!"
The little boy’s mother stands up to greet Zhou Can immediately upon seeing him enter the ward.
She appears to be a dignified and gentle woman, profoundly graceful.
"You traveled far from the capital to find me for treatment; without pinpointing the cause of your child’s illness, I wouldn’t sleep soundly! I’ll test the sensory nerves below his neck next. We use several levels for these tests. The mildest is touching the surface of the skin; if the child doesn’t perceive it, we’ll employ sharp objects to stimulate the epidermis or electric currents. Do you agree?"
Zhou Can honestly hesitates to test a child’s sensory nerve functions.
Nowadays, parents treat children as their precious gems.
Witnessing a doctor applying electric stimuli to their child’s body might provoke parents to fixate aggressively.
Doctors, however, harbor no malice; they aim to identify causes with the children’s health as their foremost priority.
Additionally, disputes often occur in the emergency room.
Especially cardiac arrest or defibrillation patients require electric shock for resuscitation. Patients emit distressing cries during shocks.
Relatives outside might feel doctors are torturing patients, promptly banging the door in furious attempts to rush in and assault the doctor.
"Will this harm the child?"
The little boy’s mother asked nervously.
"If his body’s sensory nerves are normal, he will feel pain. If abnormal, no response. During testing, we ensure control without causing actual harm to the patient,"
Zhou Can explained.
"In that case, choosing trust in you is our choice,"
The mother agreed.
Zhou Can begins testing the little boy’s sensory nerve functions.
Above the neck area, the child perceives touch and stroking, but below the neck, sensory nerves are extremely weak.
Ordinary touch yields no response.
Only cold objects or sharp items, when stimulating the skin, elicited minor sensations.
Testing with very hot objects isn’t typically conducted clinically.
Primarily fearing family aggression.
If mismanaged, even superficial burns leave marks; families might obstinately fixate.
Through tests, Zhou Can discovers phenomena: the further down the body, the weaker the child’s sensory nerve functions.
Feet exhibit the poorest sensory functions.
The test reveals a significant discovery. Director Yin suggests focusing on checking the child’s cervical spinal cord enlargement area. During sensory tests, he realizes the nerve function weakening begins at the medulla oblongata.
This suggests problems likely lie at or above the medulla oblongata.
Such as the brainstem.
The cervical spinal cord enlargement area and below likely pose no issues.
The spinal cord’s internal structure is exceedingly complex, with intricate anatomical challenges.
All spinal surgeries demand caution.
Despite big hospital doctors boasting of numerous lumbar disc herniation or cervical surgeries with exceptional results, many patients may experience mere pain pre-operatively.
Post-surgery, pain may subside, but they face wheelchair dependency, even high-level paralysis, unable to live independently in bed.
Wheelchair-bound patients are somewhat better off than bedridden, dependent ones—existing severely tragically.
Long-term illness is often accompanied by inadequate child care.
Life in sickness necessitates constant bed rest and caregiving: eating, toileting, body hygiene, muscle massages, limb stretching, whether son/daughter or spouse, struggle with enduring care provision.